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Impact of the COVID-19 pandemic on Gastroenterology Divisions in Italy: A national survey.

ABSTRACT: BACKGROUND:In Italy, the spread of the COVID-19 pandemic has stressed the entire healthcare system and required a huge re-organization of many Divisions, including those of Gastroenterology. AIMS:to assess the impact of COVID-19 pandemic on Gastroenterology Divisions across Italy. METHODS:All members of the Italian Society of Gastroenterology (SIGE) were invited to answer a web-based survey. RESULTS:Data of 121 hospitals from all 20 Italian regions were analyzed. Overall, 10.7% Gastroenterology Divisions have been converted to Covid Units. Outpatients consultations, endoscopic and ultrasound procedures were limited to urgencies and oncology indications in 85.1%, 96.2% and 72.2% of Units, respectively, and 46.7% of them suspended the screening for colorectal cancer. Moreover, 72.2% of the staff received a training for use of personal protective equipment, although 45.5% did not have sufficient devices for adequate replacement. Overall, 132 healthcare workers in 41 Gastroenterology Divisions were found to be infected. CONCLUSION:This is the first study to evaluate, at a country level, the impact of COVID-19 outbreak on Gastroenterology Divisions. Substantial changes of practice and reduction of procedures have been recorded in the entire country. The long-term impact of such modifications is difficult to estimate but potentially very risky for many digestive diseases.

SUBMITTER: Maida M

PROVIDER: S-EPMC7229963 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Impact of the COVID-19 pandemic on Gastroenterology Divisions in Italy: A national survey.

Maida M M Sferrazza S S Savarino E E Ricciardiello L L Repici A A Morisco F F Morisco F F Furnari M M Fuccio L L Morreale G C GC Vitello A A Burra P P Marchi S S Annibale B B Benedetti A A Alvaro D D Ianiro G G

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver 20200516 8

<h4>Background</h4>In Italy, the spread of the COVID-19 pandemic has stressed the entire healthcare system and required a huge re-organization of many Divisions, including those of Gastroenterology.<h4>Aims</h4>to assess the impact of COVID-19 pandemic on Gastroenterology Divisions across Italy.<h4>Methods</h4>All members of the Italian Society of Gastroenterology (SIGE) were invited to answer a web-based survey.<h4>Results</h4>Data of 121 hospitals from all 20 Italian regions were analyzed. Ove ...[more]

PMID: 32425733

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Project description:ObjectivesTo assess changes in working patterns and education experienced by radiology residents in Northwest Italy during the COVID-19 pandemic.MethodsAn online questionnaire was sent to residents of 9 postgraduate schools in Lombardy and Piedmont, investigating demographics, changes in radiological workload, involvement in COVID-19-related activities, research, distance learning, COVID-19 contacts and infection, changes in training profile, and impact on psychological wellbeing. Descriptive and χ2 statistics were used.ResultsAmong 373 residents invited, 300 (80%) participated. Between March and April 2020, 44% (133/300) of respondents dedicated their full time to radiology; 41% (124/300) engaged in COVID-19-related activities, 73% (90/124) of whom working in COVID-19 wards; 40% (121/300) dedicated > 25% of time to distance learning; and 66% (199/300) were more involved in research activities than before the pandemic. Over half of residents (57%, 171/300) had contacts with COVID-19-positive subjects, 5% (14/300) were infected, and 8% (23/300) lost a loved one due to COVID-19. Only 1% (3/300) of residents stated that, given the implications of this pandemic scenario, they would not have chosen radiology as their specialty, whereas 7% (22/300) would change their subspecialty. The most common concerns were spreading the infection to their loved ones (30%, 91/300), and becoming sick (7%, 21/300). Positive changes were also noted, such as being more willing to cooperate with other colleagues (36%, 109/300).ConclusionsThe COVID-19 pandemic changed radiology residents' training programmes, with distance learning, engaging in COVID-19-related activities, and a greater involvement in research becoming part of their everyday practice.Key points• Of 300 participants, 44% were fully dedicated to radiological activity and 41% devoted time to COVID-19-related activities, 73% of whom to COVID-19 wards. • Distance learning was substantial for 40% of residents, and 66% were involved in research activities more than before the COVID-19 pandemic. • Over half of residents were exposed to COVID-19 contacts and less than one in twenty was infected.

Dataset Information

Impact of the COVID-19 pandemic on Gastroenterology Divisions in Italy: A national survey.

Publications

Impact of the COVID-19 pandemic on Gastroenterology Divisions in Italy: A national survey.

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